Mount Vernon Nazarene University

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for ordering a survival kit for an MVNU student! These goodie packages are assembled the week before finals to encourage and support them as they prepare for their exams.

Qty

Description

Amount

Total

Survival Kit(s)

$15.00

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Total: $0.00

MVNU Student Information:

Student Name:

Dorm/Apartment Number:

Gluten Free

Nut Allergy

From:

Note of Encouragement:

Payer Information:

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information:

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *